How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,698.24 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,698.24 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,412.54 | Professional | None | $707.95 | $912.01 | $1,412.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,023.29 | Professional | None | $812.83 | $812.83 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,630.78 Typical High $4,073.80 | Facility | None | $741.31 | $3,630.78 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $1,412.54 | Professional | None | $691.83 | $954.99 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $1,479.11 Typical High $26,302.68 | Facility | None | $912.01 | $1,479.11 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $5,011.87 Typical High $6,456.54 | Professional | None | $912.01 | $5,011.87 | $6,456.54 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $1,288.25 | Professional | None | $724.44 | $891.25 | $1,288.25 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $457.09 Typical High $707.95 | Professional | 52 · Reduced service | $354.81 | $457.09 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $181.97 Typical High $281.84 | Professional | 53 · Discontinued | $141.25 | $181.97 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $691.83 Typical High $1,071.52 | Professional | 54 · Surgery only | $524.81 | $691.83 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $138.04 Typical High $213.80 | Professional | 55 · Aftercare only | $104.71 | $138.04 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $91.20 Typical High $141.25 | Professional | 56 · Pre-op care only | $70.79 | $91.20 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $645.65 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $489.78 | $645.65 | $1,000.00 |
Where Kansas sits
The same service costs 4.4 times more in Alaska than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 21st of 51
$1,023
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.